Organization
PRIME AID PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX FLEYSHUIAKLIER (OWNER)
(218) 220-2111
Entity
Organization
Contact information
Practice address
373 EAST FORDHAM ROAD, BRONX, NY 10458
(718) 220-2111
(718) 220-2112
Mailing address
373 EAST FORDHAM ROAD, BRONX, NY 10458
(718) 220-2111
(718) 220-2112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030212
NY
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
030212
NY
3336S0011X
Specialty Pharmacy
030212
NY
Other
Enumeration date
05/10/2010
Last updated
01/18/2012
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